| NPI | 1093775629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036073586) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R2D52) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-04-20 |